Organization Active NPI

Blakesburg Community Fire Board

  • Ambulance
  • Blakesburg, IA
National Provider Identifier
1770170425
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
BLAKESBURG COMMUNITY FIRE BOARD
Practice address
5621 Monroe Wapello Rd
Blakesburg, IA 52536-8000
Phone
(641) 680-2888
NPI assigned
Dec 29, 2020
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Curtis Woten, EMT
Title
Asst. Service Director/Captain
Phone
(641) 680-2888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

5621 Monroe Wapello Rd
Blakesburg, IA 52536-8000

Mailing address

5621 Monroe Wapello Rd
Blakesburg, IA 52536-8000
Phone (641) 680-2888

Other identifiers 2

IdentifierTypeStateIssuer
0452458MedicaidIA
07161OtherIABCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address unit824@live.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1770170425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 MONROE WAPELLO RD",
            "city": "BLAKESBURG",
            "state": "IA",
            "postal_code": "525368000",
            "telephone_number": "641-680-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 MONROE WAPELLO RD",
            "city": "BLAKESBURG",
            "state": "IA",
            "postal_code": "525368000",
            "telephone_number": "641-680-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKESBURG COMMUNITY FIRE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-02-03",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "WOTEN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "ASST. SERVICE DIRECTOR/CAPTAIN",
        "authorized_official_telephone_number": "641-680-2888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452458",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07161",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "unit824@live.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5621 Monroe Wapello Rd",
            "city": "Blakesburg",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525368000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blakesburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.